CDI Journal - Volume 11, Issue 6

Note from the Associate Editorial Director: Understanding healthcare reimbursement

November 1, 2017
ACDIS Guidance, Education

By Melissa Varnavas
That seems like a tall order, doesn’t it? Who really understands healthcare reimbursement in this complicated day and age, in this private payer, social security, Medicare, Medicaid, who’s–defrauding–whom world? Calling reimbursement an “ever-changing system”...Read More »
CDI Journal - Volume 11, Issue 6

Note from the CDI Practice Guidelines Committee: Seven lessons for educating the C-suite

November 1, 2017
ACDIS Guidance, CDI Management

by Cathy A. Farraher, RN, BSN, MBA, CCM, CCDS
When most CDI managers or directors meet up with C-suite executives (the head-honcho administrative staff members whose titles all begin with the word “chief”), they typically arrive armed with the latest data regarding the case mix...Read More »
CDI Journal - Volume 11, Issue 6

Radio Recap: ACDIS celebrates 10 years: A look back and forward

November 1, 2017
ACDIS Guidance, News

ACDIS celebrated its 10th birthday last month—not coincidentally the anniversary of CMS DRGs also. “I’ve never hesitated to say that’s partly why we took off,” said ACDIS Director Brian Murphy on the September 27...Read More »
CDI Journal - Volume 11, Issue 6

Part of the picture: Measuring more than CMI

November 1, 2017
ACDIS Guidance, Clinical & Coding, Policies & Procedures

When asked to describe their job, many CDI professionals explain that they help physicians and coders paint an accurate picture of the care provided to patients. But how can CDI programs flip the canvas and dip their brushes to paint their own self-portrait?

During implementation, many...Read More »
CDI Journal - Volume 11, Issue 6

Guest Column: CDI clinical validation and coding audits

November 1, 2017
ACDIS Guidance, Clinical & Coding, Denials & Appeals

By Jocelyn E. Murray, RN, CCDS
What are the similarities and differences between CDI audits and coding compliance audits? Are both necessary? It’s our collective responsibility to provide the insight that defines the two specialties and the critical efforts both bring to the table...Read More »
CDI Journal - Volume 11, Issue 6

Ask ACDIS: Midlevel advanced practice providers answering queries

November 1, 2017
Ask ACDIS, Physician Queries

Q: My facility is discussing querying advanced practice providers (APP). Does ACDIS have any official opinion on this? To clarify, the APPs are licensed providers (nurse practitioners, nurse anesthetists, physician assistants, etc., or residents/limited license). I am of the opinion that...Read More »
CDI Journal - Volume 11, Issue 6

Guest Column: Important CDI and coding updates

November 1, 2017
ACDIS Guidance, Clinical & Coding

by Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS
COPD and Pneumonia
The requirement for code J44.0 (chronic obstructive pulmonary disease with acute lower respiratory infection) to be coded first when a patient has pneumonia and COPD has been...Read More »
CDI Journal - Volume 11, Issue 6

Note from the Instructor: Your 2018 IPPS Final Rule questions, answered

November 1, 2017
ACDIS Guidance, Ask ACDIS, Clinical & Coding

By Allen Frady, RN-BSN, CCDS, CCS, CRC
On October 1, 845+ codes took effect thanks to the fiscal year 2018 IPPS Final Rule, which was released at the beginning of August. As you review the updates, additions, and deletions in this year’s rule, I wanted to answer some of your...Read More »

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